0. Thoracic and Lumbar Screening and Segmental Diagnosis

Question 1

What muscles are thought to be responsible for maintaining Type II SD?

Answer 1

Multifidus, rotatores, intertranversarii

(Short segmental muscles of the spine)

Question 2

What tends to cause Type 1 SD?

Answer 2

Compensation for a single Type II SD

Question 3

What muscles are involved in Type I SD?

Answer 3

Long restrictor muscles of the back

Question 4

What TART changes are associated with Type I SD?

Answer 4

Dry, cool skin. Decreased edema. Ropy. FIbrotic.

(Think dry and fibrous)

Question 5

Where are the lumbar transverse process relative to their spinus processes?

Answer 5

The lower border of the transverse process lines up with the upper border of the spinus process.

(Essentially 1/4 segment up)

Question 6

What is the correct way to document type I SD?

Answer 6

N SxRx

SIdebent comes first for Type 1

Question 7

What is the correct way to document type II SD?

Answer 7

F/E RxSx

For type II, rotated comes first.

Is type II really backwards?

_F_or _R_eal, _S_on